Moirangthem Romila, Bar-On Yotam
Department of Immunology, Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Eur J Immunol. 2025 May;55(5):e202451606. doi: 10.1002/eji.202451606.
The basic concepts of passive immunization and the potential of antibody therapy to confer immunity against infectious diseases were introduced already in the late 19th century. This approach was also later implemented to extensively treat and prevent infections, but with the development of effective vaccines, it became restricted to only a few medical conditions such as snake bites, neutralization of toxins, and prevention of rabies infection. This has dramatically changed in the last decade, as antibodies have been widely used in the clinic for the treatment of COVID-19 and the prevention of respiratory syncytial virus (RSV) infections. A stepping-stone for the progress in monoclonal antibody generation was the development of single-cell antibody cloning techniques that made it possible to develop effective neutralizing antibodies against highly mutable viruses such as influenza virus and HIV-1. Here, we review the use of passive immunotherapy in the clinic for treating and controlling SARS-CoV-2 and RSV infections. We further discuss key developments that have made it possible to use monoclonal antibodies against the highly mutable HIV-1 and influenza virus and advanced clinical trials designed to evaluate the efficacy of such an approach. Finally, we present recent findings that demonstrate that passive immunization can elicit long-term immunity in the host.
被动免疫的基本概念以及抗体疗法赋予针对传染病免疫力的潜力早在19世纪末就已被提出。这种方法后来也被广泛用于治疗和预防感染,但随着有效疫苗的发展,它仅限于少数医疗情况,如蛇咬伤、毒素中和以及狂犬病感染的预防。在过去十年中,这种情况发生了巨大变化,因为抗体已在临床上广泛用于治疗新冠肺炎和预防呼吸道合胞病毒(RSV)感染。单克隆抗体制备进展的一个垫脚石是单细胞抗体克隆技术的发展,该技术使开发针对高变异性病毒(如流感病毒和HIV-1)的有效中和抗体成为可能。在此,我们综述了被动免疫疗法在临床上用于治疗和控制SARS-CoV-2和RSV感染的应用。我们还将进一步讨论使得使用针对高变异性HIV-1和流感病毒的单克隆抗体成为可能的关键进展,以及旨在评估这种方法疗效的高级临床试验。最后,我们展示了最近的研究结果,这些结果表明被动免疫可以在宿主体内引发长期免疫。
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